Active NPI
Stewart P Atkins, P.T.
- Physical Therapist
- Tuscaloosa, AL
National Provider Identifier
1518962471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH2884
- Practice address
- 1110 15TH St
Ste C
Tuscaloosa, AL 35401-3393 - Phone
- (205) 758-0053
- Fax
- (205) 758-0390
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3590 | MS | |
| Physical Therapist | 225100000X | PTH2884 | AL | Primary |
Addresses
Primary practice location
1110 15TH St
Ste C
Tuscaloosa, AL 35401-3393
Mailing address
1110 15TH St
Ste C
Tuscaloosa, AL 35401-3393
Phone (205) 758-0053
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51505241 | Medicaid | AL | |
| 04323710 | Medicaid | MS | |
| 51505241 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1110 15TH St
Suite C
Tuscaloosa, AL 35401-3393
Phone (205) 758-0053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH2884 | AL | MD | Physical Therapist |
| PT3590 | MS | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tuscaloosa, AL
- NPI 1851462485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518962471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 15TH ST",
"address_2": "STE C",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354013393",
"telephone_number": "205-758-0053",
"fax_number": "205-758-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 15TH ST",
"address_2": "STE C",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354013393",
"telephone_number": "205-758-0053",
"fax_number": "205-758-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "STEWART",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3590",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH2884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51505241",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04323710",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51505241",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.